Individual provider Active NPI

Joanne Sonseray Martires, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Oak Park, IL
National Provider Identifier
1669622767
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
036-144672 Issued in IL
Practice address
610 S Maple Ave Ste 3900
Oak Park, IL 60304-1095
Phone
(708) 660-2240
NPI assigned
Sep 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036-144672 IL Primary
Pulmonary Disease Physician 207RP1001X 036-144672 IL

Addresses

Primary practice location

610 S Maple Ave Ste 3900
Oak Park, IL 60304-1095

Mailing address

610 S Maple Ave Ste 3900
Oak Park, IL 60304-1095
Phone (708) 660-2240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130201000150 CA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Pulmonary Disease 4284888066 Reassigns benefits to 1 organization
I20180522002472 IL Practitioner - Critical Care (Intensivists) 4284888066 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-144672ILMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group CurrentSince Jun 1, 2020 Accepting new patients
County of Los Angeles Current Accepting new patients
County of Los Angeles Auditor Controller CurrentSince May 31, 2015 Accepting new patients
County of Los Angeles CurrentSince May 31, 2015 Accepting new patients
Rush Oak Park Physicians Group Adult Medicine CurrentSince May 1, 2018 Accepting new patients
Rush University Medical Center Pulmonary Disease CurrentSince Jun 1, 2020 Accepting new patients

Locations

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1725 W Harrison St
Ste 54
Chicago, IL 60612
Phone (312) 942-5871

75 Remittance Dr
Chicago, IL 60675

610 S Maple Ave
Ste 3900
Oak Park, IL 60304
Phone (708) 524-1674

610 S Maple Ave
Ste 4600
Oak Park, IL 60304
Phone (708) 660-2240

Interoperability endpoints

  • Direct secure messaging: jmartires143012@direct.rush.rush-health.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1669622767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S MAPLE AVE STE 3900",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041095",
            "telephone_number": "708-660-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S MAPLE AVE STE 3900",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041095",
            "telephone_number": "708-660-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIRES",
        "first_name": "JOANNE",
        "middle_name": "SONSERAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036-144672",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036-144672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.